Medical Document Review Specialist – AR & QA

externallincarecareers; Clearwater (FL); On-site; USD 32,000 - 52,000; Full time

Job summary

The Upfront Review Clerk at externallincarecareers performs quality checks on customer information to ensure accuracy and completeness for payer requirements, enabling timely reimbursements.

Responsibilities include evaluating documents for Accounts Receivable readiness, assisting customer service to resolve billing issues, and reviewing reports for quality assurance.

Additionally, you will record all activity in tickler files to maintain an audit trail supporting smooth billing cycles.

Qualifications

• High school diploma or GED required.
• Knowledge of the medical field preferred.
• Proficient with office equipment and basic computer skills.
• Strong phone etiquette and written communication.

Responsibilities

• Conduct quality review of customer information to ensure accuracy for payer requirements.
• Evaluate documents to support Accounts Receivable processes.
• Assist customer service weekly to correct problems so billing may begin or continue.
• Review various reports for quality assurance and record activity in tickler files.

Skills

Medical field knowledge

Computer literacy

Telephone etiquette

Oral and written communication

Education

High school diploma or GED

Job description

The Upfront Review Clerk at externallincarecareers performs quality checks on customer information to ensure accuracy and completeness for payer requirements, enabling timely reimbursements.

Responsibilities include evaluating documents for Accounts Receivable readiness, assisting customer service to resolve billing issues, and reviewing reports for quality assurance.

Additionally, you will record all activity in tickler files to maintain an audit trail supporting smooth billing cycles.